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WWW.support4NICUparents.org Infant Comfort Care Order Set This is a template adapted from StormontVail Healthcare in Topeka, KS. As a basis for computerized order entry, it assumes that doses of various
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How to fill out infant comfort care order

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How to fill out an infant comfort care order:

01
Obtain the necessary forms: Contact the healthcare provider or hospital where the infant is receiving care to request the infant comfort care order form.
02
Provide personal information: Fill out the form with the required personal information, including the infant's name, date of birth, and contact information for the parents or legal guardians.
03
Specify the ordering physician: Indicate the name and contact information of the physician who is ordering the infant comfort care.
04
Determine the duration of care: Decide on the duration of comfort care needed for the infant. This can range from a specific period of time to an ongoing order.
05
Describe the comfort care plan: Provide details about the specific actions and interventions to be included in the comfort care plan for the infant, such as pain management, feeding preferences, and handling guidelines.
06
Consent and acknowledgement: Sign and date the form to indicate consent and acknowledgement of the infant comfort care order.
07
Submit the form: Return the completed form to the healthcare provider or hospital where the infant is receiving care.
08
Follow up: It may be necessary to follow up with the healthcare provider or hospital to ensure that the comfort care order has been processed and implemented appropriately.

Who needs an infant comfort care order:

01
Premature infants: Infants born prematurely or with health complications may require an infant comfort care order to ensure that they receive appropriate care and support during their hospital stay.
02
Infants with life-limiting conditions: Infants diagnosed with life-limiting conditions or terminal illnesses may benefit from an infant comfort care order, which outlines the specific comfort measures and interventions to be provided for their well-being.
03
Families seeking palliative care: Families who choose palliative care for their infants, focusing on comfort and quality of life rather than aggressive medical interventions, may request an infant comfort care order to ensure that their wishes are carried out.
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Infant comfort care order is a legal document that outlines the care and comfort measures to be provided to an infant who is facing a terminal illness or life-limiting condition.
The infant's guardian or legal representative is typically required to file the infant comfort care order.
The infant comfort care order can be filled out by providing information about the infant's medical condition, treatment preferences, and comfort care measures.
The purpose of infant comfort care order is to ensure that the infant receives the appropriate care and comfort during their end-of-life journey.
Information such as the infant's medical history, current condition, treatment options, and comfort care preferences must be reported on infant comfort care order.
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